骨科手术中的美洲原住民代表和多样性倡议:成功的更新和路线图
Zachary Jodoin1, Tyler Williamson, Selina Poon
1From the Department of Orthopedics, University of Texas Health Science Center San Antonio, San Antonio, TX (Jodoin and Williamson), Department of Pediatric Orthopedic Surgery, Shriners for Children Medical Center, Pasadena, CA (Poon), Department of Orthopedics, Pediatric Orthopedic Surgery, University of Texas Health Science Center San Antonio, San Antonio, TX (McCormick).
概括
美国原住民在整形外科手术中的代表性显著不足. 该审查确定了现有的资源,并倡导针对性计划,以增加该领域的多样性.
科学领域:
- 整形外科手术 整形外科手术
- 医疗多样性的医疗多样性
- 卫生公平性健康公平性
背景情况:
- 整形外科手术与其他医学专业相比,其多样性较低.
- 美国原住民/阿拉斯加原住民在骨科手术中表现明显不足,仅占外科医生的0.4%,尽管占美国人口的2.9%.
- 目前没有专门为美洲原住民设计的骨科包容或招聘计划.
研究的目的:
- 为了突出美洲原住民在骨科手术中的代表性不足.
- 确定现有的项目和资源,可以支持美洲原住民从事骨科的职业生涯.
- 为有抱负的美洲原住民整形外科医生提供指南,并激励未来的多样性倡议.
主要方法:
- 现有多样性计划和资源的文献综述.
- 对美国原住民在骨科手术中的代表性人口统计数据的分析.
- 从其他医疗领域和一般多样化计划中确定成功的招聘和包容策略.
主要成果:
- 美国原住民在一般人口中的比例和他们在整形外科手术中的代表性之间存在显著的差异.
- 各种医疗保健招聘计划,奖学金 (例如,印度卫生服务 - IHS) 和指导机会可供美国原住民使用.
- 一般的多样性计划 (例如,AAOS IDEA Grant,Nth Dimensions,The Perry Initiative) 在多样化整形外科手术管道方面取得了成功.
结论:
- 迫切需要在骨科手术中增加美洲原住民的代表性.
- 利用现有的一般和医疗保健专项计划可以支持美国原住民的招聘.
- 开发有针对性的,针对美洲原住民的骨科包容性计划对于未来的进步至关重要.
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